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EMR Voice Recognition, EMR As Medical Devices, ACOs and HIEs, Top 100 Hospitals, and MU Stage 1 Money

Posted on April 29, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’m traveling in what I consider the heart of healthcare IT: Boston. Everywhere you turn and look there’s healthcare all around. I’ve seen multiple vans with Partners on them. I even had a mobile health story in the Delta magazine I checked out on my flight out. Although, I’m not actually in Boston for work. I’m just here on vacation with my wife. So far I’ve done a pretty good job enjoying the vacation and not working. We’ll see how the last couple days go.

Don’t worry Boston, I’ll be back in two weeks for Health 2.0 Boston and we’ll get all the #HITsm crew together for some healthcare IT fun. Yes, bad planning on my part, but I do have an affinity for visiting Boston.

Ok, enough of the sidebar. Now to the usual round up of Healthcare IT tweets:


Is there an EMR where you can’t use voice recognition? I wrote a post on that a long time ago where the answer was no. They can all use voice recognition. Although, as I’ve written about the deep embedding of voice in some EMRs, it’s also true that not all EMR voice recognition is created equal. So, check it out if you like voice.


My answer is that they’re not medical devices. I think we have more than enough regulation in EMRs and I haven’t seen that regulation actually improve EMR software. So, I’m against more EMR regulation.


It’s true that many EHR vendors hold the blame for not exchanging data even if they put on nice demos at the Interoperability exchange at HIMSS. How about next year the interoperability showcase at HIMSS can only show actual implementations of real exchanges? I wonder how different it would be.


This top lists are always fun to click and rarely have much value. Although, to me it probably mostly shows a correlation by the money made and the IT implemented. The more money they have the more likely they are to implement healthcare IT.


Stage 4? You have to have completed every EMR stage (ie. Full implementation).

Speech Recognition and EMR

Posted on September 21, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Shahid, The Healthcare Guy, recently added a guest post from Nick van Terheyden, MD, Chief Medical Information Officer (Clinical Language Understanding) from Nuance Healthcare (Yes, they make Dragon Naturally Speaking – DNS) about making the most of speech recognition with an EMR. Here are the major points that Nick made:

  • Have the right hardware installed.
  • Intelligent application Coexistence.
  • Use good quality microphones and sound recording equipment.
  • Environmental Considerations.
  • Create a Standard and Replicate.
  • Anticipate Resistance. Expect resistance.
  • Quick Portable Guides.
  • Preparation.
  • Horses for Courses.
  • Identify champion(s).

I think that voice recognition is fascinating. Personally, I haven’t used it all that much. I certainly write a lot and so you’d think it would be perfect for me. I guess the reason I haven’t done it is first that I type pretty fast and second the extra time that it takes me to type the post helps me to formulate my ideas into a more coherent manner.

People are generally surprised to find out that I don’t proofread these blog posts (most of the time). It’s definitely a different type of publishing, but for the most part I build an idea in my head and then formulate the content for the blog as I type it. I’m not sure how well that would work with voice recognition. Although, maybe this week I’ll try it and see how it goes.

This said, I think many doctors have well trained dictation skills and so the idea of using speech recognition to capture their documentation into an EMR is a very natural thing. Hopefully the above ideas will help out those that are interested in pursuing speech recognition.